Provider Demographics
NPI:1952055782
Name:EL PASO CENTER FOR SEIZURES AND EPILEPSY, PLLC
Entity Type:Organization
Organization Name:EL PASO CENTER FOR SEIZURES AND EPILEPSY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SKJEI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:737-216-3778
Mailing Address - Street 1:3205 ZION LN
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79904-3147
Mailing Address - Country:US
Mailing Address - Phone:372-163-7787
Mailing Address - Fax:254-549-9557
Practice Address - Street 1:444 EXECUTIVE CENTER BLVD STE 203
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1056
Practice Address - Country:US
Practice Address - Phone:915-223-2020
Practice Address - Fax:254-549-9557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-10
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1710995220OtherNPI